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  5. SOVEREIGN PLASTIC SURGERY, PLLC

SOVEREIGN PLASTIC SURGERY, PLLC

Company Details

Entity Name: SOVEREIGN PLASTIC SURGERY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Oct 2008 (16 years ago)
Document Number: L08000098524
FEI/EIN Number 263586818
Address: 1950 ARLINGTON ST, SUITE 112, SARASOTA, FL, 34239, US
Mail Address: 1950 ARLINGTON ST, SUITE 112, SARASOTA, FL, 34239, US
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780838763 2008-11-04 2012-10-12 1950 ARLINGTON ST, SUITE 112, SARASOTA, FL, 342393508, US 1950 ARLINGTON ST, SUITE 112, SARASOTA, FL, 342393508, US

Contacts
Phone +1 941-366-5476
Fax 9418667388

Authorized person
Name ALISSA M SHULMAN
Role OWNER
Phone 9413665476

Taxonomy
Taxonomy Code 208200000X - Plastic Surgery Physician
License Number ME103128
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE PTAN
Number BI1647
State FL
Issuer FLORIDA MEDICAL LICENSE
Number ME103128
State FL
Issuer MEDICARE RAILROAD PTAN
Number DO9595
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOVEREIGN PLASTIC SURGERY, PLLC 401(K) PLAN 2023 263586818 2024-03-04 SOVEREIGN PLASTIC SURGERY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9413665476
Plan sponsor’s address 1950 ARLINGTON STREET SUITE 112, SARASOTA, FL, 34239
SOVEREIGN PLASTIC SURGERY, PLLC 401(K) PLAN 2022 263586818 2023-04-24 SOVEREIGN PLASTIC SURGERY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9413665476
Plan sponsor’s address 1950 ARLINGTON STREET SUITE 112, SARASOTA, FL, 34239
SOVEREIGN PLASTIC SURGERY, PLLC 401(K) PLAN 2021 263586818 2022-03-30 SOVEREIGN PLASTIC SURGERY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9413665476
Plan sponsor’s address 1950 ARLINGTON STREET SUITE 112, SARASOTA, FL, 34239
SOVEREIGN PLASTIC SURGERY, PLLC 401(K) PLAN 2020 263586818 2021-03-30 SOVEREIGN PLASTIC SURGERY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9413665476
Plan sponsor’s address 1950 ARLINGTON STREET SUITE 112, SARASOTA, FL, 34239
SOVEREIGN PLASTIC SURGERY, PLLC 401(K) PLAN 2019 263586818 2020-09-12 SOVEREIGN PLASTIC SURGERY, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9413665476
Plan sponsor’s address 1950 ARLINGTON STREET SUITE 112, SARASOTA, FL, 34239
SOVEREIGN PLASTIC SURGERY, PLLC 401(K) PLAN 2018 263586818 2019-09-24 SOVEREIGN PLASTIC SURGERY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9413665476
Plan sponsor’s address 1950 ARLINGTON STREET SUITE 112, SARASOTA, FL, 34239

Signature of
Role Plan administrator
Date 2019-09-24
Name of individual signing DR. ALISSA M. SHULMAN
Valid signature Filed with authorized/valid electronic signature
SOVEREIGN PLASTIC SURGERY, PLLC 401(K) PLAN 2017 263586818 2018-07-17 SOVEREIGN PLASTIC SURGERY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 9413665476
Plan sponsor’s address 1950 ARLINGTON STREET SUITE 112, SARASOTA, FL, 34239

Agent

Name Role Address
dba JB Underhill CPA Agent 6151 Lake Osprey Drive, SARASOTA, FL, 34240

Manager

Name Role Address
SHULMAN ALISSA MM.D. Manager 1950 ARLINGTON ST, SARASOTA, FL, 34239

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-14 500 North Westshore Blvd., Suite 1012, Tampa, FL 33609 No data
REGISTERED AGENT ADDRESS CHANGED 2016-03-08 6151 Lake Osprey Drive, Suite 300, SARASOTA, FL 34240 No data
REGISTERED AGENT NAME CHANGED 2015-02-25 dba JB Underhill CPA No data
CHANGE OF PRINCIPAL ADDRESS 2013-01-30 1950 ARLINGTON ST, SUITE 112, SARASOTA, FL 34239 No data
CHANGE OF MAILING ADDRESS 2013-01-30 1950 ARLINGTON ST, SUITE 112, SARASOTA, FL 34239 No data

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-01-27
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-03-08

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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